Application of venous flow-through flap in complex finger replantation
10.3760/cma.j.issn.1001-2036.2015.01.007
- VernacularTitle:Flow-through静脉皮瓣在复杂性断指再植中的应用
- Author:
Dawei ZHENG
;
Zhangcan LI
;
Li XU
;
Xuyang ZHANG
;
Rongjian SHI
;
Feng SUN
;
Kuishui SHOU
- Publication Type:Journal Article
- Keywords:
Venous flow-through flap;
Venous flap;
Finger injuries;
Replantation
- From:
Chinese Journal of Microsurgery
2015;38(1):25-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the outcome of applying venous flow-through flap in replantation of complex severed finger.Methods From March,2011 to August,2012,15 cases of complex severed fingers were repaired by flow-through flap with two sets of venous system of forearm vein and one stage repair of wound.The time from injury to operation was 1.5-5.5 h (mean 2.5 h).Vascular defect length ranged from 1.5 to 11.0 cm (mean 3.6 cm);and soft tissue defect of 1.5 cm × 3.0 cm to 11.0 cm × 11.0 cm.All digits had severe soft tissue defect and segmental defect of blood vessels.All the finger blood circulation was disorder.Results All flaps and replanted fingers survived completely,except 1 case of postoperative venous crisis occurred which was remission after the vascular transplantation,and 1 case of skin flap necrosis at the distal part which was healed after skin grafting; Fourteen cases were followed-up from 7 to 20 months.At the final followed-up the flaps were of good consistency and appearance.Function of the finger was graded excellent in 7 cases,good in 5 cases,and poor in 2 cases.All flaps and replanted fingers survived completely over a period of 12 to 30 months follow-up.The flaps were of good consistency and appearance.Function of the finger was graded excellent in 7 cases and good in 5 cases.Conclusion With less injury at donor site,and good repair results,venous flow-through flap is well indicated in complex finger replantation with soft tissue defect and vascule defect.
